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r\ <br />This is a True Copy of <br />Certificate Originaly Issued <br />------------ Ne11CYandWo W---------------------- <br />Director of Assistance <br />DEPARTMENT <br />NEBRASKA <br />BOARD OF CONTROL <br />OF ASSISTANCE AND CHILD WELFARE <br />N° 13 <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />M Old Age Assistance <br />❑ Blind Assistance <br />_.4rand- Is].and-................... --.................. -------------- ----- ----------I-------------------foy .9----------- .......................... 19...._'9.._ <br />City or Village <br />------------------------------------ Hall.-----------------------................--.................... ---- - -------------- --.....---------._6. 368--------------------------------------------------------- ----- <br />--------------- <br />County Application Number <br />In compliance with State Assistance Statutes in Section 68 Comp. St. Supp. 1937, 1 hereby declare the following described <br />real estate as all of the real estate owned in whole or in part by myself and/or my spouse. <br />1. Legal description of real estate used by me as place of my residence: <br />Lots 24,25,26,& 27;Bark's Subdivision No.2 <br />2. Legal description of all real estate not used by me as place of my residence: <br />the aska <br />ay 12, <br />pursuant to the <br />Enactment <br />of L. <br />B. 89, by o release 6 he th Session <br />oAgef A sistae Legislature liens of reco state her by Dof r releasers th�aPP *��Ttth n 1 en this <br />1941, authorising t >� .. ..)!'.'� ! ' <br />.......... <br />.. �!... day of ....... . . <br />�i...., 1941. ' ' Register of Deeds <br />..................... Anthony Signed.....-----------------Jeimee..._Oeraey ................................... -- . <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .......- .....................x .Z ----........................................... County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />....................... -..... -............... ------Mur.. el.-- Antbo air.._..---------.....---------- <br />.......... <br />County 04MW Visitor <br />To: State Assistance Director, �v---._.--.--.....County <br />1008 State Capitol, <br />Lincoln, Nebraska ------------------------ .-_---------.19-1-1------ <br />Received for record Certificate of Award for Application No ............ $--. <br />._.._..36 <br />..-..-.............-..-.... (Old Age Assistance), (Blind Assist- <br />ance) at. ........ 9.........................o'clock and ........................... minutes ...-.l.M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. <br />Book 1,Page 13 Signed ---------- -- ---------......---- <br />-- ----------- <br />Register of Deeds <br />TM.K..I�.[[0. YYo �i4xC� WM1. <br />